Dr. Gregory S.T. Charlton, D.D.S.
Dentist, General Practice in Goleta, CA. Individual provider (NPI-1).
NPI number1114136231
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1114136231
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory S.T. Charlton
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2007
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 24207 | CA | Yes |
| 122300000X | Dentist | 24207 | CA |
Practice location
5943 Trudi DrGoleta, CA 93117-2177
Phone 805-705-2589
Mailing address
5943 Trudi DrGoleta, CA 93117-2177
Phone 805-705-2589
Other practice locations
550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161
Crescent City, CA 95531-8161
Phone 707-465-4636 · Fax 707-387-9808
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